My daughter was diagnosed with type 1 diabetes in July 2002 when she was 13 years old. Her blood sugar fluctuates from 70 to 300 mg/dl [3.9 to 16.7 mmol/L] in 24 hours, even with four injections per day and daily blood sugar testing. Her A1c remains below 7.0. Is this treatment reasonable? Insulin pumps are still not affordable in India.
An A1c less than 7.0 is good, but those blood sugar fluctuations are not good. You should ask your diabetes team about switching to insulin glargine Lantus, a long lasting insulin analog that can help lead to more target readings. It is often given as a separate shot at bedtime. Short-acting insulin, such as Humalog or NovoLog is then given for each meal or snack eaten.
Last Updated: Tuesday April 06, 2010 15:09:56
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